Provider Demographics
NPI:1417908724
Name:VALIKA, SHUJAUDDIN N (MD)
Entity Type:Individual
Prefix:MR
First Name:SHUJAUDDIN
Middle Name:N
Last Name:VALIKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2400 BIG TIMBER RD
Mailing Address - Street 2:SUITE 200B
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-7835
Mailing Address - Country:US
Mailing Address - Phone:847-697-0770
Mailing Address - Fax:847-697-0789
Practice Address - Street 1:2400 BIG TIMBER RD
Practice Address - Street 2:SUITE 200B
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60124-7835
Practice Address - Country:US
Practice Address - Phone:847-697-0770
Practice Address - Fax:847-697-0789
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036074658207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC37298Medicare UPIN
ILIL7659002Medicare PIN
ILP00456Medicare PIN